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OBJECTIVE: To investigate how sexual identity is structured and also to investigate the relationship between sexual identity, choice of sex object and sexual difference. METHOD: Semi-structured interviews were held with seven adult patients who were born with sex differentiation disorders: Two had 5-alpha-reductase type-2 deficiency and five had congenital adrenal hyperplasia. CONCLUSIONS: Sex is trauma. Neither male nor female nor any other gender identification implies the choice of sexdoi:10.1590/s1415-47142012000300002 fatcat:5e4nehz5sneqrkpiz3aw3gbfxq